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Strengths and struggles of collaboration between rongoā
Māori and primary health
Dr Glenis Mark, PhD
(Ngapuhi, Tainui, Kai Tahu)
Indigenous Nurses Aotearoa Conference
Saturday 6 August 2016
OVERVIEW
• Brief introduction to Rongoā Māori
• Rongoā Māori research with healers
• Rongoā Māori research with patients
• Exploration of issues around integration of Rongoā Māori with mainstream health treatment
• Conclusions and implications
RONGOĀ MĀORI HEALING SYSTEM Herbal
Physical
Spiritual
RONGOĀ MĀORI (TRADITIONAL MĀORI MEDICINE
through the eyes of Māori healers:Sharing the Healing while Keeping the Tapu
What are the underlying philosophies of rongoā Māori healing?
Participants – seventeen rongoā Māori healers
Data Collection – narrative interviews
Data Analysis – rourou Māori method of data analysis
RONGOĀ MĀORI HEALTH TREATMENTSeries of interrelated relationships based on aroha
HOLISTIC NATURE OF CULTURAL HEALTH TREATMENT
• Healer self-awareness• Healer relationship with the client• Influence of family• Nature as an active participant• Spirituality as a core concept• Diagnosing the catalyst of disease• Power of emotions• Facilitating change• Holding Māori traditions tapu
RONGOĀ MĀORI DEFINITION
• an intricate and dynamic system of healing relationships negotiated by the rongoā Māori healer
• people, spirits, plants in order to co-construct beliefs about emotions, illness and healing.
• vehicle of Māori cultural sovereignty which is cultivated by aroha and hope for the improved future of Māori
• Māori cultural values and beliefs that provides a culturally appropriate form of treatment for Māori
RESULTS ON INTEGRATION
• Healers focused on the concept of cooperation, rather than separation or integration
• Views on cooperation were mixed and some supporting cooperation and others resisting it
• Promoting Cooperation
• Resisting Cooperation
POTENTIAL SOLUTION
• Model of pluralism Kaptchuk and Miller (2005)
• cooperation rather than integration between CAM and medical systems
• encourages cooperation, open communication
and respect between practitioners, despite the
existence of honest disagreements
• preserves the integrity of each treatment
system
HUARAHI RONGOĀ KI A NGAI TĀTOU:Māori views on rongoā Māori and primary health
• Two groups of Māori patients who a) have experienced primary health treatment b) have experienced rongoā Māori healing
• Northland, Auckland, Waikato• Two interviews with photo taking in between• Maori health, illness, health treatment• Integration of rongoā Māori and primary health
care treatment• Thematic analysis
RESULTS
Summary from Group A and Group B
SUPPORT OF INTEGRATION
ISSUES WITH INTEGRATION
Only difference was Group B had a greater recognition and understanding of rongoā Māori
COMBINED RESULTS
• integration is possible and strongly desired
• relationship between healers and doctors in integration is possible, but doubtful
• integration should occur separately, but collaboratively
STRENGTHS OF INTEGRATION
• reduced fear of medical shame for disclosure of all treatment utilisation
• a more cooperative approach across medical,
traditional Māori healing and CAM modes of
health treatment
• all New Zealanders receiving the benefits of a
variety of coordinated and parallel health treatment options
STRUGGLES OF INTEGRATION
• lack of belief in the ability of doctors to adapt, adjust and change
• further research is required into all areas of collaboration
• resolution of issues - funding, sovereignty, cultural integrity, intellectual property, official recognition by government
CONCLUSION
• further research – many aspects require further exploration
• resolution of these issues – ongoing discussion
• creative innovations – nurse-led collaboration between healers and medicine
• something is better than nothing – choose one solution and give it a go!
REFERENCES
• Mark, G. (2012). Rongoā Māori through the eyes of Māori healers: Sharing the healing while keeping the tapu (Unpublished doctoral thesis). Massey University, Auckland, New Zealand.
• Mark, G. (2014). Huarahi rongoā ki a Ngai Tātou: Māori views on Rongoā Māori and Primary Health – Results of research conducted with Māori patients of rongoā and primary health. Whanganui: Whakauae Research for Māori Health and Development.